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Auricular Acupressure Treatment Of Insomnia In Clinical Studies

Posted on:2008-01-19Degree:MasterType:Thesis
Country:ChinaCandidate:B L LinFull Text:PDF
GTID:2204360212488739Subject:Acupuncture and Massage
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Purpose: Insomnia is one of the most common and high-incidence disease, belong topsychological and physiological obstruction, which occurs in the crowd generally and affectsthe quality of the life and work and the health of the body and mind badly. So it is much moreimportant to search and develop new effective and secure anti-insomnia-medication andtherapy. This has been an exigent problem of medical treatment and society.Method: The research program chooses the patients of insomnia, who are from theclinic of the affiliated hospital of Taiwan college of China medicine, as the object of studywhich is divided into test group and control group in the ratio of 1 to 1 at random accordingto diagnostic demands, 30 cases each group. The therapeutic to the test group' patients isstimulating auris-points by adhibitting and pressing manipulation with small nut seeds, andto the control group is only adhibitting on the non-correlation-insomnia-auris-points. Themain auris-points are Neifenmi, Shenmen and Xin. The subsidiary ear-points are as follow:deficiency both of heart and spleen adding Pi and Xiaochang, non-communication of heartand kidney adding Gan and Shen, deficiency of heart and cowardliness of gallbladder addingGan and Dan, heart confusion from phlegm and fire adding Pi and Dachang, livergloominess and Qi stagnant adding Gan and Sanjiao. The manipulation is to take the smallnut seeds onto 0.5×0.5mm~2 white rubberized fabric and adhibit on the points of the right earor left ear, press 5 times each point 1 day about 5 min, and change the other ear after 3 days.The period of treatment is 15 days, each 3 days interval rest every 2 period, totaling 3periods of treatment.Result: Baseline information: The proportion of 60 cases patients about sexualdifferentiation and time of life is equilibrium, P>0.05, and the two groups can becomparative.Clinical observation shows that in the 30 cases therapy group, the cases with heal effectare 5; the cases with dramatic effect are 9; those with effect are 14, those without effect are 1and the total effective rate is 93.33%. In the 30 cases of control group, the cases with healeffect are 1; the cases with dramatic effect are 4; those with effect are 15; those withouteffect are 10 and the total effective rate is 66.67%. The curative effects between the twogroups are dramatically different (P<0.05). This shows that the test group effect is higherthan the control group.Electroencephalogram guideline: After 3 courses of treatment, all of the parameters inthe period of sleeping between the 2 groups show that the guidelines, such as total sleepingtime, sleeping latent period, S215min sleeping latent period, NREM period, S2 period,awakening times, sleeping efficiency, sleeping cycle etc., are dramatically different (P<0.05,0.01, 0.001). This shows that the test group effect is higher than the control group. But the other guidelines, such as REM period, S1 period, S3 period, S4 period and movement timesetc. are not markedly different (P>0.05). The compare of sleeping parameter andself-estimate to the test group has markedly different (p<0.01), and the impersonalityinspect and the subjective estimate of awakening times are not dramatically different (p>0.05). The compare between impersonality insomnia and subjective insomnia shows that theguidelines, such as total sleeping time, sleeping latent period, NREM period, S2 to S4 period,awakening times, sleeping efficiency and sleeping cycle etc. are markedly different (P<0.05,0.01, 0.001). But the other guidelines, such as S1 period, REM latent period and movementtimes etc. are not markedly different (p>0.05).PSQI: The compare of total integrals between the 2 groups shows that the test group islower than the control group distinctly (p<0.05). The self-compare between before and aftertreatment of the 2 groups shows markedly different (p<0.001), and the whole guidelines ofsleeping quality are dramatically different (P<0.01). The compare between the 2 group,after treating, are markedly different (P<0.05). Those explain that the effect of the testgroup is higher than the other group.Conclusion: It is found that auris-points therapy has good clinical therapeutic effects fortreating insomnia, through stimulating Neifenmi, Shenmen, Xin and other auris-points, whichcould keep patients calm and relaxed, and through the transmission of nerves, meridians andcollaterals.Compared with other acupoints of the body, auris-points are much closer to the brain, soit can be seen that auris-points therapy has apparent effects to improve the sleeping quality,efficacy and efficiency of insomnia through observing and comparing relative data ofelectroencephalogram and PSQI.Auris-points therapy has the following advantages, marked clinical therapeutic effects,non-side-effect, non-toxic-effect, easy to manipulate, so it is apt to be popularized andapplied.It could not only relieve miseries of patients, improve their symptoms, but could alsodecrease their dependence of medication; meanwhile, it could also reduce cost. Therefore, ithas great potential and a promising market.
Keywords/Search Tags:clinical study, insomnia, random, control, auris-points
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